HomeMy WebLinkAbout2012-00937 - adv plan review . CITYOFORONO * Z0 12 - 00937 *
� ' 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1380 FOX ST
PIN : 02-117-23-31-0009
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 013
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 10,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMI"I':$ 10,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED GARAGE
PERMIT#THIS PRE-PAYMENT IS TIED TO: 2012-00936
APPLICANT ADVANCED PLAN REVIEW 124.64
ABD Consulting Services, LLC TOTAL 124.64
P.O. BOX 1 F MTKA
MINNETONKA, MN 55345-
(952)567-1365
OWNER Git of Orono
ABD Consulting Services, LLC �� Ke�ey5Par�kNay �_�4�_��
P.O. BOX I F MTKA
MINNETONKA, MN 55345- Receipt No: 3.�7644 5ep 18, 2d12
ABD Consulting
AGREEMENT AND SWORN STATEMENT Previous balance: .OG
Thc ti�ork for which this permit is issued shall be performed according to P�Y'I�1t5
thc approved plans and spccifications,applicable City approvals,and the Plan Reviea► 1�4•�
State Building Code. l'his permit is for only the work described and does 1�1-3�$la
not grant pennission for additional or related work which requires separate Plan Cheek/Site Exaiu Fees__`Y_____`y
permits. All provisions oY laws and ordinances governing this typc of work TGtai: 1�C4.64
shall be compied wi[h whether or not specified herein.This permit will =�___�___e_=
expire and become null and void if construction authorized is not Cheek
commenced within 180 days of the date of issuance,or if construction is �h�Ck �: 5131 1�4.�t
suspended for a period of 180 days at any time after work has commenced. Pa 8r:
The applicant is responsible fi�r assuring all required inspections are AB� Consult ing
requesled in conformance with the State Building Code.This pennit may be Tptdl Appi 12�; 1�4•64
revoked at any time for due cause. --------------
Chanoe Tendered: .OU
/ / / /
Applicant Yermitce Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
- � City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number:
�g,��. PO Box66
�c� O Crystal Bay, MN 55323-0066 Date received:
��c=s�,-:.
I _ Received by:
�a �( -�'` a� , Sfreet Address: �,
\�'�n �� �' � ���' 2750 Kelley Parkway Plan review fee: � ,�: r`�, ��';
Orono, MN 55356 e
�Dggpg'�
- Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: l�' � ,�fC, �'� d/�C' n ;�����
Will this be a Parade of Homes, Remodelers Showcase Horne or other Display Home? ❑ Yes No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Phone: office cell
Mailing Address: ��r= City: ZIP:
Contact Person: �� Appiicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: /�bt� �o�1S� l�i�� .S-�.L�lJi c.-P_l C�C� L
Phone (day): GI S z S�7 ���s
Address: .�„�. (�, �f�x � � City: !'h�"�,� ZIP: s�3��—
Email and/or Fax 9 s-Z t�6� ���–�
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1. Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal &
Water Supply
❑ New Construction ❑ Single Family with ❑ Residence
❑ Addition attached garage [�arage/Accessory Bldg. ❑ Public Sewer
❑ Accessory Building [✓]�Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) G'��-JL.. ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
""Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial ❑ Private Wefl
Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ��/ �vv
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